This case series highlights the outcome of four pregnancies complicated with COVID-19, as
the pandemic of coronavirus disease 2019 (COVID-19) poses a lot of uncertainties due to lack
of scientific evidence in guiding the management of pregnancy with COVID-19. The women
were between 25 and 31 years of age and of 35 - 39 weeks of gestation with no underlying
medical problems. Three women were delivered via caesarean section and one woman was
delivered via ventouse delivery due to poor progress during the second stage of labour. Two
women were in stage 4 of the disease (having breathing difficulties and requiring oxygen
support) at presentations. One of them was treated with hydroxychloroquine (HC) only while
another one was treated with both HC and antiviral medications; none required assisted
ventilation during their hospitalizations. There is no vertical transmission of COVID-19 disease
observed in this case series.